Organization Active NPI

Dr Smith & Associates 6958 P a

  • Optometrist
  • Miami, FL
National Provider Identifier
1932147691
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR SMITH & ASSOCIATES 6958 P A
Practice address
13601 S Dixie Hwy
Miami, FL 33176-7219
Phone
(305) 235-1721
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gregory Charles Engel
Title
Director of Administration
Phone
(727) 361-0431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

13601 S Dixie Hwy
Miami, FL 33176-7219

Mailing address

PO Box 40510
St Petersburg, FL 33743-0510
Phone (727) 361-0431

Other identifiers 1

IdentifierTypeStateIssuer
078682900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1932147691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40510",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337430510",
            "telephone_number": "727-361-0431",
            "fax_number": "727-344-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767219",
            "telephone_number": "305-235-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SMITH & ASSOCIATES 6958 P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "727-361-0431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078682900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.